Job Application | Premier Care Solutions, LLC

PREmier care solutions

SERving all metro atlanta areas Phone: 678-919-1132 Fax: 678-921-5741

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Home
About
Services
Home Care Info
Contact Us
FAQ
Careers
- Job Application
Intake Form
Subscribe

First and Last Name*

Previously used Name(s):

Home Phone*

Home Address*

How long have you lived at this address?*

If Less than 2 years, enter previous address

Your email*

Date of Birth*

Position Applying For

SSN*

Confirm SSN*

Are you legally able to work in the US?*

Yes

No

Have you ever been convicted of a crime?*

Yes

No

If yes, explain the nature and dates of the conviction(s)

What do you like most about working with the elderly, disabled, or convalescing client?*

What do you find most challenging in this type of work?*

Do you have reliable transportation?*

Yes

No

If you don't have a vehicle, how would you get to work?

Driver's License Number and State of Issue*

Expiration Date

Select all the counties you can work:*

Cobb County

Clayton County

Cherokee County

Douglas County

DeKalb County

Fulton County

Fayette County

Henry County

Gwinnett County

Rockdale County

Forsyth County

How many hours can you work weekly?*

Employment Desired

Option 1

Option 2

Application Form

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, disability, medical condition, national origin, or martial status.

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© 2025 Premier Care Solutions. All rights reserved.

Contact Us

Phone: (678) 919-1132

Fax: (678) 921-5741

Email: info@premiercaresolutions.net

Address: 1372 Peachtree St. NE

Atlanta, GA 30309

Nursing Services

24/7 Live-in Care

Alzheimer's Care

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Hours

Tues-Thurs: 10:00 AM - 2:00 PM

Mon/Fri-Sat: Appointment only

Sunday- Closed